Doctor Name: | ANNETTE MARIE HATCH-CLEIN |
NPI Number: | 1336189109 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP, P.MH CNS |
License Number: | R037282 |
Business Practice Address: | 234 State St Brewer, ME - 044121519 |
Business Phone Number: | 2079890550 |
Business Fax Number: | 2079890551 |
Mailing Address: | 489 State St, BANGOR |
State: | ME |
Postal Code: | 044016616 |
Phone Number: | 2079890550 |
Fax Number: | 2079890551 |
NPI Enumeration Date: | 06/08/2006 |
NPI Last Update Date: | 06/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R037282 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |